Individual
MS. MELISSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 CALIFORNIA ST NW, 41, WASHINGTON, DC 20009-1824
(340) 643-0283
Mailing address
1820 CALIFORNIA ST NW, 41, WASHINGTON, DC 20009-1824
(340) 643-0283
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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